USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1920-1921 > Part 38
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Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are knewn. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homi- cidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If investigation shows the death to have been due to dis- ease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis.
(Sudden death.)"
DESCRIPTION (for unknown person).
MARGIN RESERVED Z >
NOTICE TO UNDERTAKERS : No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have come to his death by violence, until a permit in writing, signed by the Medical Examiner, has first been obtained. - Revised Laws, Chap. 24, Sec. 20.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
1
23. 20
FORM R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County
Middlezers
State
Maradwith
City or Town
Cheloneferd.
No ..
St. Ward
(If death occurred in a hospital or institution, give its NAME instead of strect and number) Pranzonr.
2 FULL NAME
august Living
(a) Residence, No.
( Usual place of abode)
Length of residence to city or town where death occurred
30
years
months
.St.,
Ward.
(If non-resident give city or town and State)
days.
How long ia U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, CR
DIVORCED (write the word)
Didlower
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Christina. Lavina
Severe
6 DATE OF BIRTH
Feb8 - 1859.
( Month)
(Day)
( Year)
If LESS than
1 day ......... h:s.
or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work.
Stone Cutler
9 BIRTHPLACE . (City)
(State or country)
Sweden.
FATHER
Sven- cherson.
11 BIRTHPLACE OF
FATHER (City)
(State or country)
Surderr.
12 MAIDEN NAME
OF MOTHER
anna- Ishuman.
13 BIRTHPLACE OF
MOTHER [ City)
(State or country)
Surdan.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH.
"SMfonth)
april
30-1921
(Day)
(Year)
17 I HEREBY CERTIFY, ThatgI attended deceased from
1921
april 3.
1921
that I last saw h
alive on
1921
and that death occurred, on the date stated above, at 40 m. The CAUSE OF DEATH was as follows : aortic Insufficiency
(duration)
arterio silencio
anos.
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
yrs ....
.. mos .............
.ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
Date of.
Was there an autopsy ?
What test confirmed diagnosis ? Fred Evana
(Signed)
(Address).
March Chele fors
Date.
May
1ª 1921
( Month)
(Day) (Year)
14 Mina Esther Lavina
(Address )
9%. Chelmsford.Un
15 May 21921 Justi t. Moore
Filed (Month) (Day) (Year) )
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued wil an Justin L. Noone
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Mr. Chelmsford Canliny
(Cemetery)
(City or town)
DATE OF BURIAL
May 3 -1921
20 UNDERTAKER David L'action
ADDRESS
Mestfred
Official, pron check position
Date of
of permit May 2192/No
Permit
10-'20. 20.000.
3 SEX Mala- 7 ACE €2 10 NAME OF PARENTS Informant. N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH (b) Name cf employer
MARGIN RESERVED FOR BINDING
Ycars
2 Months
22 Days
110 Chelmsford- Alan (City/or Town)
Registered No.
, M.D.
(If iu the Army or Navy of the United States, give rank, organization, etc. )
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can he known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will bo sufficient, c. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As cxamples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may ferm part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Ilousekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should he taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Hlousemaid, etc. If the occupation has heen changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from husiness, that fact may be indicated thus: Farmer (rctired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATII (the primary affection with respect to time and causation), using -always the same accepted term for-the same disease. Examples: Ccre- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of .. .. (name origin; "Cancer" is less definite; avoid use of "Tumor" fer malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributery (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse, ""Coma,""Convulsions," "Debility" ("Congenital, ""Senile," etc.), "Dropsy.""Exhaustion, ""IIeart failure,""IIemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "U'remia, ""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia, " "PUERPERAL peritonitis, " etc.
State cause for which surgical operation was undertaken.
(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)
Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.
Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
COMMONWEAL IM OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, t'Je duration of his last illness, when last seen alive by the physician, and the date of his death. . . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.
No undertaker or other persen shall hury a human body . . . until he has received a permit from the board of health or its agent, . . . or . . from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, .. . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall hc accompanied by n satisfactory certificate of the at- tending physician, if any, as required hy law, or in lieu thereof a certi6- cate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . . . The person to whom the per- mit is so given and the physician who certifies to the cause of death shall thereafterfurnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all eases, certify to the eity or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such persen as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persens to whom they have given hedside care during a last illness from discase unrelated to any form of injury.
(2) Eoard of Health Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
3
2
1
R-302
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
weichow (City or town)
1 PLACE OF DEATH
Registered No.
(Place of death)
Registered No ..
26 28
City or Town
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Lucy a. Wardwell
(If in the Army or Navy of the United States, give rank, organization, etc.)
St.
(a) Residence.
State
(Usual place of abode)
was.
City or Town Chelmsford Cerater
Length of residence io city or town where death occurred
8
years
11
months
/3 days
How long io U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
april 30
1921.
17
I HEREBY CERTIFY, That I attended deceased from
many 17
., 1912
, to
april 30, 1921.
that I last sach ca
. alive on
april 30
19 2%.
and that death occurred, on the date stated above, at 2.30 h.m.
The CAUSE OF DEATH* was as follows :
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.) Chronic Endocarditis with 1
Coronary Sclerosis
(duration) ..
..........
.yrs ..........
.... mos.
.... ds.
CONTRIBUTORY
Broncho pneumonia
(SECONDARY)
(duration)
-afost 3 ds.
18 Where was disease contracted if not at place of death?
Did an operation precede death ?.
Date of
Was there an autopsy?
yes
What test confirmed diagnosis ?.
(Signed)
Emma It. Ray
M.D.
0.192/ (Address)
DATE OF BURIAL
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
El Com. forwell Man.
May 2
19 2/
15
File april 321 athi R Tranh
Registrar of city or lown wbere death occurred
Filed May 26 195/ Fracture R. Moord Registrar of city or town where deceased resided
20 UNDERTAKER
L.P. Conant
ADDRESS Window
11-13-'19. 25,000
so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
of certificate.
14
Informant Iphital Records
(Address) westtoro Juan.
PARENTS
10 NAME OF FATHER William a. Johnson
11 BIRTHPLACE OF FATHER (city or town) Swell (State or country)
man.
12 MAIDEN NAME OF MOTHER Lucy Hutchins .
13 BIRTHPLACE OF MOTHER (city or town) (State or country) mama
-
If LESS thao 1 day, ........ hrs. or ........ min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or particolar kiod of work
Housewife
(b) Name of employer
Years
Months
8
Bays
7 AGE 67
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Widowed
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
MARGIN RESERVED FOR BINDING
N. B. - WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be 1
111
County
Worcester
State
Jan
No.
flate Hospital
(Place of residence)
St.,
.Ward
3 SEX
Female
6 DATE OF BIRTH (month, day, and year) ang. - 1853
9 BIRTHPLACE (city or town).
(State or country)
Juan.
yrs.
tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The mna- terial worked on may form part of the second statement. Never return "Laborer,"
"Foreman," " Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborcr, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Scrvant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (sccondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," ""Convulsions,"" "Debility" (“Con- genital," "Senilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus,' s." "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
following conditions must be referred to the Medical Examiners :
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized diseasc, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY PHYSICIAN.
Form R-302
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT
Tewksbury
1 PLACE OF DEATH
Registered No ....... 774
County.
Middlesex
State ... Massachusetts
Registered No.
26 2
City or Town
Tewksbury
No ... State ...... Infirmary
(Place of residence) St., Ward
(If death occurred in a hospital or institution, give its NAME Instead of street and number)
2 FULL NAME
William McGuinness
(If In the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. State
(Usual place of abode)
City or Town
No.
Chelmsford.
St.
Length of residence in city or towo where death occurred
years
months
20
days
How long io U. S., if of foreign birth?
38
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Delia Gilboy
6 DATE OF BIRTH (month, day, and year)
Dec. 12, 1872
7 AGE
Years
Months
Days
47
3
22
1 day, ........ hrs.
or ........ mio.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. Laborer
(b) General oature of indostry, business, or establishment in wbich employed (or employer) (c) Name of employer
.(duration).
+
yrı
mos.
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
yrs. ................ mos ................
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?. No
Date of
Was there an autopsy ? Nc
What test confirmed diagnosis?
(Sigoed)
George A. Peirce
M.D.
14
Informant ..... Hospital ... Records ....
LAddress Onhrmann Gentile
15 Filed 4/A/ .... , 19_ 21. ......
Jeather occurred
Registrar of city or town where deceased resided
16 DATE OF DEATH (month, day, and year)
April 3,
1921
17
I HEREBY CERTIFY, That I attended deceased from
Mar.14
19
21. ..
April 3,
19
21
that I last saw h.
im. alive on ... April ... 3.
19
.21
and that death occurred, on the date stated above, at
4:35 Pm.
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)
Mitral Insufficiency
9 BIRTHPLACE (city or town) (State or country) Ireland
10 NAME OF FATHER
John McGuinniss
PARENTS
11 BIRTHPLACE OF FATHER (city or town)
(State or country) Ireland
12 MAIDEN NAME OF MOTHER Susan Skulan
13 BIRTHPLACE OF MOTHER (city or town) (State or country) Iroland
1/4/1927 (Address) State Toffymany
nowksbury
DATE OF BURIAL
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
St. Patrick's Cem. Lowell Arp. & 21
20 UNDERTAKER
ADDRESS
James W. McKenna, Lowell, Mass.
MARGIN RESERVED FOR BINDING
of certificate.
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
11
(City or town)
(Place of death)
Male
If STILLBORN, eoler that fact here
If LESS thao
The CAUSE OF DEATH* was as follows :
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Forcman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer,"
"Foreman," "Manager," " Dealer," ete., without more precise specification, as Day laborer, Farm laborer, Laborer -Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully cinployed, as At school or At home. Care should be taken to report spe- eifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATII (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia,"" unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- loneum, etc., Carcinoma, Sarcoma, cte., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Mcasles (disease causing death), 29 as .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toins or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" ("Con- genital," "Senile," etc.), "Dropsy," "'Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," ete., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ete. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to .de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
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